<style>.theme-white{ background-color:#FFF;}.theme-white .tpl-form-line-form .am-form-group{ margin-bottom:30px;}</style>
<div class="widget-body">
<form class="am-form tpl-form-line-form" data-am-validator id="formDoSubmit-select" style="padding-right:15px;">
	<div class="am-form-group">
      <label class="am-u-sm-3 am-form-label">制单人：</label>
      <div class="am-u-sm-9"><input type="text" placeholder="长度不超过32" value="{{.backenduser.RealName}}"  readonly/></div>
  	</div>
    <div class="am-form-group">
        <label class="am-u-sm-3 am-form-label">调出门店：</label>
        <div class="am-u-sm-9"><select id="fromdep"></select></div>
    </div>
    <div class="am-form-group">
        <label class="am-u-sm-3 am-form-label">调入门店：</label>
        <div class="am-u-sm-9"><select id="targetdep"></select></div>
    </div>
    <div class="am-form-group">
      <label class="am-u-sm-3 am-form-label">备注：</label>
      <div class="am-u-sm-9">
        <textarea name="Remarks" id="remarks" rows="4"></textarea>
      </div>
  	</div>

</form>
   <div style="text-align:center;"><button class="am-btn am-btn-secondary" type="submit" id="confirm">确认生成</button></div>
</div>
